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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-Application Form or Ma Review Form Subdivision w/o Survey: $50.00 <br /> pp lI Survey of Existing Parcel: S50.00/lot <br /> Subdivision w/Survev: $200.00+$50.00/lot <br /> Jim and Merry Krautkramer Buyer: <br /> Owner: y A <br /> Address: <br /> 28555 County Road C Address: 9 <br /> z <br /> Danbury, WI 54830 <br /> Phone: 715-259-3376 Phone: <br /> Original Parcel Information � <br /> Parcel ID#: 012421602880 Section 16 Township 40 Range 15 <br /> Original Description(or attach copy):Gov Lot 7 except parcels V295, P 57 and V295, P60 <br /> Current Zoning: RR2 Floodplain Y/N:__L� _Wetlands Y/N: N Lake/River Class: <br /> y Lower Loon Lake <br /> o Name of Water Body: Shoreland Agreement/SIPS Y/N t <br /> Farmland Preseryation Y/N: N Managed Forestry Law Y/N: r' <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM Pending VcipQj'�� <br /> Acres: 5.5 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Existing Easement � <br /> A <br /> Proposed access to public waters to be provided Y/N: N <br /> If yes, describe access: <br /> Signature of Owner: Date: <br /> n <br /> signature of owner: uate: <br /> 0 <br /> c <br /> �0 Does parcel meet Zoning Requirements? Yes No R <br /> N ➢ Does parcel require a Survey? Yes No <br /> 0 <br /> a ➢ Permit application fees submitted? K>f Amount$ _bu eoo Receipt# <br /> ❑ Reconciles with Real Property Lister / `Yes No Date: <br /> m If not,explain: <br /> e <br /> 9�99uvl L9 <br /> a <br /> 7J <br /> A <br /> 0 <br /> Q Application: Approve Denied Reason for Denial: <br /> y Land Use: i1% 2,1161 Date: SEP 212016 <br /> ESUF77. I I UOUNTY <br /> `Z_INING <br />